45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
●Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
620
Insurances with rates
18
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
PX-0237T
$17,709
PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL
Gross
$26,431
PX-0505T
$14,208
PR EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR
Gross
$21,206
PX-0238T
$8,545
PR TLPA ILIAC ARTY EA VSSL
Gross
$12,753
PX-0620T
$7,109
PR ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL
Gross
$10,610
PX-19357
$6,994
PR RCNST BRST TISS EXPAND
Gross
$10,439
PX-19361
$6,983
PR RCNST BRST W LAT DORSI FLAP
Gross
$10,423
PX-15734
$6,779
PR MUSCLE FLAP TRUNK
Gross
$10,118
PX-19318
$6,296
PR BREAST REDUC
Gross
$9,397
PX-15738
$6,023
PR MUSCLE FLAP LWR EXT
Gross
$8,990
PX-0201T
$5,962
PR PERC SACRL AUGMNTATION BILAT
Gross
$8,899
PX-0644T
$5,115
PR TCAT RMVL/DBLK ICAR MAS PERQ
Gross
$7,634
PX-15830
$4,945
PR EXCISN EXCESS SKIN/TISS ABD
Gross
$7,381
PX-19307
$4,594
PR MASTECT RADICAL MODIFIED
Gross
$6,857
PX-15731
$4,309
PR FHD FLAP W VASC PEDCL
Gross
$6,431
PX-15733
$4,236
PR MUSC MYOQ/FSCQ FLP H&N PEDCL
Gross
$6,322
PX-0913T
$4,212
PR PRQ TCAT THER RX NTRAC BALO1
Gross
$6,287
PX-15941
$4,127
PR EXCISN ISCH DECUB ULCER W OST
Gross
$6,160
PX-19305
$4,047
PR MAST RADCL INCL PECT MUS
Gross
$6,041
PX-19316
$4,047
PR MASTOPEXY
Gross
$6,040
PX-19340
$4,004
PR IMMED INSRT BRST IMPLNT
Gross
$5,976
PX-15834
$3,982
PR EXCISN EXCESS SKIN/TISS HIP
Gross
$5,944
PX-15832
$3,958
PR EXCISN EXCESS SKIN/TISS THIGH
Gross
$5,908
PX-15835
$3,901
PR EXCISN EXCESS SKIN/TISS BUTTOCK
Gross
$5,823
PX-14301
$3,798
PR TISS XFER ADJ 30.1-60SCM
Gross
$5,668
PX-0582U
$3,685
PR RAPID WHOLE GENOME SEQ
Gross
$5,500
PX-19371
$3,669
PR PERI IMPLT CAPSULECTOMY BRST COMPL
Gross
$5,476
PX-15934
$3,633
PR EXCISN SAC PRES ULCER W SKIN FLP
Gross
$5,422
PX-15877
$3,582
PR SUCTION ASSIS LIPECTOMY TRUNK
Gross
$5,346
PX-19302
$3,511
PR MAST PRTL W AXLRY LYMPHDEC
Gross
$5,241
PX-0446T
$3,501
PR CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN
Gross
$5,225
PX-19303
$3,398
PR MASTECT SMPL COMPLT
Gross
$5,072
PX-0448T
$3,377
PR RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE
Gross
$5,041
PX-19325
$3,306
PR BREAST AUGMENT W IMPLNT
Gross
$4,935
PX-14061
$3,120
PR TISS XFER EY/N/E/LIP 10.1-30SCM
Gross
$4,657
PX-15576
$3,040
PR FORM PEDCL EY/NO/E/L
Gross
$4,537
PX-15773
$2,915
PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS
Gross
$4,351
PX-15740
$2,905
PR FLAP ISLAND PEDCL
Gross
$4,336
PX-19342
$2,880
PR DELAYED INSRT/RPLC BRST IMPLNT
Gross
$4,298
PX-19330
$2,827
PR RMVL RPTRD BRST IMPLNT
Gross
$4,220
PX-19085
$2,821
PR BX BREAST W LOC MR GUID 1ST
Gross
$4,211
PX-15260
$2,801
PR GRFT FULL THCK EY/NO/E/L <=20SCM
Gross
$4,180
PX-15240
$2,696
PR GRFT FULL THCK F/G/HF <=20SCM
Gross
$4,024
PX-19370
$2,694
PR REV PERI CAPSULOTOMY BRST
Gross
$4,021
PX-14021
$2,684
PR TISS XFER SCLP/LIMB 10-30SCM
Gross
$4,006
PX-15839
$2,679
PR EXCISN EXCESS SKN/TISS OTHER
Gross
$3,998
PX-0200T
$2,651
PR PERC SACRL AUGMNTATION UNILAT
Gross
$3,957
PX-15950
$2,627
PR EXCISN ULCER TROCHNT W SUTR
Gross
$3,921
PX-19081
$2,588
PR BX BRST W DEV 1ST LESN STERETCTC
Gross
$3,862
PX-14060
$2,554
PR TISS XFER EAR/EY/N/LIP <=10SCM
Gross
$3,812
PX-14041
$2,526
PR TISS XFER FACE/NK/EXT 10-30CM
Gross
$3,770
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| PX-0237T | PR TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL | $26,431 | $17,709 | — | — | 294 |
| PX-0505T | PR EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR | $21,206 | $14,208 | — | — | 295 |
| PX-0238T | PR TLPA ILIAC ARTY EA VSSL | $12,753 | $8,545 | — | — | 294 |
| PX-0620T | PR ENDOVASC VENOUS ARTERIALIZATION TIBIAL/PERONEAL | $10,610 | $7,109 | — | — | 378 |
| PX-19357 | PR RCNST BRST TISS EXPAND | $10,439 | $6,994 | — | — | 379 |
| PX-19361 | PR RCNST BRST W LAT DORSI FLAP | $10,423 | $6,983 | — | — | 379 |
| PX-15734 | PR MUSCLE FLAP TRUNK | $10,118 | $6,779 | — | — | 379 |
| PX-19318 | PR BREAST REDUC | $9,397 | $6,296 | — | — | 379 |
| PX-15738 | PR MUSCLE FLAP LWR EXT | $8,990 | $6,023 | — | — | 379 |
| PX-0201T | PR PERC SACRL AUGMNTATION BILAT | $8,899 | $5,962 | — | — | 295 |
| PX-0644T | PR TCAT RMVL/DBLK ICAR MAS PERQ | $7,634 | $5,115 | — | — | 379 |
| PX-15830 | PR EXCISN EXCESS SKIN/TISS ABD | $7,381 | $4,945 | — | — | 379 |
| PX-19307 | PR MASTECT RADICAL MODIFIED | $6,857 | $4,594 | — | — | 395 |
| PX-15731 | PR FHD FLAP W VASC PEDCL | $6,431 | $4,309 | — | — | 379 |
| PX-15733 | PR MUSC MYOQ/FSCQ FLP H&N PEDCL | $6,322 | $4,236 | — | — | 379 |
| PX-0913T | PR PRQ TCAT THER RX NTRAC BALO1 | $6,287 | $4,212 | — | — | 378 |
| PX-15941 | PR EXCISN ISCH DECUB ULCER W OST | $6,160 | $4,127 | — | — | 379 |
| PX-19305 | PR MAST RADCL INCL PECT MUS | $6,041 | $4,047 | — | — | 379 |
| PX-19316 | PR MASTOPEXY | $6,040 | $4,047 | — | — | 379 |
| PX-19340 | PR IMMED INSRT BRST IMPLNT | $5,976 | $4,004 | — | — | 379 |
| PX-15834 | PR EXCISN EXCESS SKIN/TISS HIP | $5,944 | $3,982 | — | — | 379 |
| PX-15832 | PR EXCISN EXCESS SKIN/TISS THIGH | $5,908 | $3,958 | — | — | 379 |
| PX-15835 | PR EXCISN EXCESS SKIN/TISS BUTTOCK | $5,823 | $3,901 | — | — | 379 |
| PX-14301 | PR TISS XFER ADJ 30.1-60SCM | $5,668 | $3,798 | — | — | 379 |
| PX-0582U | PR RAPID WHOLE GENOME SEQ | $5,500 | $3,685 | — | — | 296 |
| PX-19371 | PR PERI IMPLT CAPSULECTOMY BRST COMPL | $5,476 | $3,669 | — | — | 379 |
| PX-15934 | PR EXCISN SAC PRES ULCER W SKIN FLP | $5,422 | $3,633 | — | — | 379 |
| PX-15877 | PR SUCTION ASSIS LIPECTOMY TRUNK | $5,346 | $3,582 | — | — | 378 |
| PX-19302 | PR MAST PRTL W AXLRY LYMPHDEC | $5,241 | $3,511 | — | — | 379 |
| PX-0446T | PR CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN | $5,225 | $3,501 | — | — | 379 |
| PX-19303 | PR MASTECT SMPL COMPLT | $5,072 | $3,398 | — | — | 379 |
| PX-0448T | PR RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE | $5,041 | $3,377 | — | — | 379 |
| PX-19325 | PR BREAST AUGMENT W IMPLNT | $4,935 | $3,306 | — | — | 379 |
| PX-14061 | PR TISS XFER EY/N/E/LIP 10.1-30SCM | $4,657 | $3,120 | — | — | 379 |
| PX-15576 | PR FORM PEDCL EY/NO/E/L | $4,537 | $3,040 | — | — | 379 |
| PX-15773 | PR GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS | $4,351 | $2,915 | — | — | 379 |
| PX-15740 | PR FLAP ISLAND PEDCL | $4,336 | $2,905 | — | — | 379 |
| PX-19342 | PR DELAYED INSRT/RPLC BRST IMPLNT | $4,298 | $2,880 | — | — | 379 |
| PX-19330 | PR RMVL RPTRD BRST IMPLNT | $4,220 | $2,827 | — | — | 379 |
| PX-19085 | PR BX BREAST W LOC MR GUID 1ST | $4,211 | $2,821 | — | — | 396 |
| PX-15260 | PR GRFT FULL THCK EY/NO/E/L <=20SCM | $4,180 | $2,801 | — | — | 379 |
| PX-15240 | PR GRFT FULL THCK F/G/HF <=20SCM | $4,024 | $2,696 | — | — | 379 |
| PX-19370 | PR REV PERI CAPSULOTOMY BRST | $4,021 | $2,694 | — | — | 379 |
| PX-14021 | PR TISS XFER SCLP/LIMB 10-30SCM | $4,006 | $2,684 | — | — | 379 |
| PX-15839 | PR EXCISN EXCESS SKN/TISS OTHER | $3,998 | $2,679 | — | — | 379 |
| PX-0200T | PR PERC SACRL AUGMNTATION UNILAT | $3,957 | $2,651 | — | — | 295 |
| PX-15950 | PR EXCISN ULCER TROCHNT W SUTR | $3,921 | $2,627 | — | — | 379 |
| PX-19081 | PR BX BRST W DEV 1ST LESN STERETCTC | $3,862 | $2,588 | — | — | 396 |
| PX-14060 | PR TISS XFER EAR/EY/N/LIP <=10SCM | $3,812 | $2,554 | — | — | 379 |
| PX-14041 | PR TISS XFER FACE/NK/EXT 10-30CM | $3,770 | $2,526 | — | — | 379 |
Showing top 50 of 620 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.